NAME - HSA

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NAME:
.....................................................................................................................
QUESTION 1:
Dispensing and Labelling
Marks
20
Please prepare and label the medication of the following prescription you have written:
Mr L Pain Ref: 23/05
18 Kiewiet Street
Rooihuiskraal
0012
1.
Nux vomica 200cH
Mitte: 30mL amber glass bottle (agb) 20% R-OH
Sig. Take 10-15 drops three times a day fro seven days for dyspepsia
2.
Ribes nigrum
Mitte: 50mL agb
Sig. Take 15 drops three times a day for inflammation
(10)
Label 1
(5)
Label 2
(5)
Marks
10
NAME:
.....................................................................................................................
QUESTION 2: Counselling (Role play):
1.
Mrs Penelope Smith has a sore throat . The
following medication has been prescribed and dispensed for her.
You must now counsel her on the usage thereof:
1. Apis mel 200cH
Mitte: 6 powders
Sig. 1 powder every thirty minutes
2. Calendula Ǿ
Mitte: 30ml agb
Sign. Put 5ml into 30ml distilled water. Gargle for 30 seconds. Repeat
every 2-3 hours for 48 hours
(5)
2.
Mrs C Shabalala has a wart on her left hand.
The following medication has been prescribed and dispensed for her. You
must now counsel her on the usage thereof:
1. Thuja Cream 4% v/m (W LAST)
Sign: Apply to affected area three times daily
(5)
IMPORTANT!!
No matter what is written on the script always double check the age
of the patient and see that prescribed substances are appropriate for
infants, elderly, diabetics, religious groups, alcoholics and
ALWAYS check if a women is pregnant or may be pregnant!!
NAME:
.....................................................................................................................
Marks
10
QUESTION 3: Procurement and storage
Write short notes on receiving incoming stock.
5.
Receiving Incoming Stock

Must be received in person; this will allow mistakes to be spotted early.

The stock must also be accompanied by the necessary delivery documentation

Check delivery

Is the correct practice address an each container

Are the number of containers correct

Check containers for intactness and tampering

Deal with cold chain items first, if it was not cold packed, do not except

Check Vaccine Vial Monitors (VVM) – if discoloured do not except

Is there any discoloration of any liquids

Are there any unsealed or unlabelled items

Schedule 5 & 6 items must be entered into the relevant registers and stored in
a dedicated facility

Signature, date & time plus official stamp on delivery note
NAME:
.....................................................................................................................
Marks
10
QUESTION 4: Dispensing Records and Registers
1.
Which information are you legally required to enter into
a Schedule 6 register
(4)
Date of receipt of
From where
Quantity
Reference number
Given to whom
How much
Date
Script reference number
Prescriber
2.
Which information are you legally required to enter into a
prescription record book
Name of active ingredient
Dosage form and quantity
Complete instructions / storage conditions / eg. cool dry place
Name of patient
Date of prescription
Dispenser
(2½)
NAME:
.....................................................................................................................
Marks
10
QUESTION 6: PIL
Write a patient information leaflet for the use of Hypericum perforatum Ǿ in a mildly
depressed patient. This PIL should adhere to the principles of lay language to inform
the patient. Use the
reference material provided at this station.
Name: If using trade product(1)
Contents: (1)
Dosage form: Drops (1)
What used for: Mild depression (1)
Direction / How used: 10 drops three times daily(1)
When not to use: When on any antidepressant drugs(1)
Other effects: None known. (1)
Warnings: Discontinue if any signs of sensitivity develop. Do not use during
pregnancy and lactation. Safety in children not established (1)
May interact with other drugs: May affect the efficacy of the contraceptive pill. Other
antidepressant drugs (1)
Manufacturer (1)
Date of PIL (1)
NAME:
.....................................................................................................................
Marks
10
QUESTION 7: DRUG-DRUG INTERACTION
It is essential that a practitioner using tinctures and low potencies must ensure that they educate
themselves on possible drug-drug interactions
Review the following prescription and discuss possible drug-drug interactions. Also change the
script to better suit the patient’s needs.
Mr P Ramathuba, a 55 year old patient , is treated with warfarin (5 mg/d) for his heart valve lesion
and metformin (glucophage 500 mg twice daily) for type 2 diabetes mellitus. He has just had a bad fall
an bruised his left buttock. You want to prescribe Arnica montana Ǿ 15 drops three times a day for
seven days.
(a)
Which of these drugs may interact and how?
Arnica montana has an anti-coagulant action and may enhance the effect of the
warfarin
(b)
What will be the result of the interaction?
The patient may develop minor or major haemorrhage by increasing bleeding
tendency
(c)
How can you change this script (which new drug?) without putting him at risk?
Motivate.
Arnica montana should be given in a higher potency to eliminate anticoagulant effect.
NAME:
.....................................................................................................................
Marks
10
QUESTION 8: ETHICAL ISSUES
After evaluation of the following case study answer the questions below from the perspective of a
dispenser. Note all answers should be clearly motivated.
Sheila, a divorced mother of Sipho (10 years) comes to see you and hands you a script from her general
practitioner on which the following information was written.
(a)
Diagnosis of disease – asthma with acute sinusitis.
(b)
(i)
Medicines: Salbutamol inhaler 2 puffs as needed to relieve chest tightness
maximum 4 times / day
(ii)
Budesonide inhaler (100 µg) 2 puffs twice daily – use spacer device.
(iii)
Amoxycillin 250 mg po three times per day for 5 days
The mother only wants the prescribed allopathic medicines as she informs you that she prefers
homoeopathic medicines for her childs asthma and purulent sinusitis.
1.
How would you advise the mother?
(3)
Explain the treatment options and risks.
Counsel about the disease / acute exacerbation / hospitalisation / dangers etc.
Explain the benefit of the prescribed allopathic medication
2.
If after examination you are concerned that the child has developed meningitis. If the mother
still absolutely refuses to consider the allopathic treatment. Should you inform the father of the child if
the mother still refuses treatment?
(3)
After counselling the mother should be asked to do this
If she refuses the best interest of the child should be looked at
After instruction you may inform the mother that you may get legal assistance (court
order) to
Tell the father as her refusal may gravely affect the outcome of the disease
Insist that the mother sign an indemnity form
3.
Has the father any rights since they are now divorced?
(2)
Yes, According to law both parents must consent to treatment
If they do not agree the child’s best interest should be taken into account
4.
What about assent from the child?
It is always better to get assent from children when they can understand as this
improves compliance and disease outcome.
From 10-12 years on this should be the norm
(2)
NAME:
.....................................................................................................................
Marks
10
QUESTION 9: SCRIPT WRITING
Write a script adhering to all legal requirements for the following patient.
Mr Reginald Ramathuba, 68 years lives in 6 Long Street Cape Town. He belongs to the Bonitas
Medical Scheme , member number X17783. He is a hypertension sufferer but are otherwise healthy.
You have decided on Remedy RRR 6X in the mornings for one month. Note you are the prescriber at
your clinic/rooms. You want to prescribed 50mL of Remedy RRR in 20% alcohol.
Drs Name Surname,
Qualification (University)
Address
Contact numbers
Practice number
Emergency contact number
Name and address of patient
Sex and age
Medical aid
Date (1)
Hours of practice (1)
(3)
(1)
Diagnosis ( ICD 10 Code 1)
Rx : Full Name of Remedy (in latin) and potency
Mitte: 50mL agb 20% R-OH
Sign: Place 15 drops under the tongue every morning for 30 days (2)
Signature (2)
Qualification if not mentioned on top
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